Platelet-rich plasma (PRP)

PRP may be considered for selected tendon, ligament and joint concerns after evaluation. The aim is to reduce pain and improve function, with goals tied to the activities that matter to you.

Response varies by diagnosis and preparation. PRP may not help, and relief of symptoms does not necessarily mean damaged tissue has been restored. Dr. Coon will explain the expected benefits and limits for your diagnosis.

Platelet concentration, the volume delivered and the number of white blood cells remaining in the plasma all affect the composition of PRP. Total platelet dose reflects both concentration and volume.

Research, particularly in knee osteoarthritis, suggests that platelet dose may influence pain and function outcomes. An effective dose for one condition should not be assumed to be the right dose for every tissue.

Dr. Coon will explain how the preparation and intended platelet dose fit your diagnosis.

Dr. Coon considers your symptoms, examination and relevant imaging to identify a likely treatment target and decide whether PRP has a useful role.

The plan connects the procedure to an outcome you can assess, such as walking farther, lifting more comfortably or returning to a specific activity. Rehabilitation and changes in how the tissue is loaded may be part of that plan.

Ultrasound lets Dr. Coon see the target, the needle and nearby structures as he places the PRP.

Accurate placement is one part of careful treatment, alongside the diagnosis, preparation and rehabilitation plan.

Therapeutic options may include rehabilitation, activity changes, medication, further testing or watchful waiting with reassessment. A surgical opinion may be appropriate when the diagnosis calls for it.

Corticosteroid can provide temporary symptom relief in selected situations. Its risks depend on the tissue and frequency of use, including potential effects on tendons or cartilage. Dr. Coon is cautious about recommending corticosteroid or surgery before weighing other appropriate options. He will explain when either may serve your goals so you can make an informed decision.

A complete tendon or ligament rupture, an unclear diagnosis or a health factor that makes a procedure unsafe may require a different plan. Dr. Coon will explain his reasoning and the next step.

Temporary soreness, swelling or stiffness can follow PRP. Other possible risks include bleeding, infection and injury to a nearby nerve or blood vessel. The procedure may not help.

Dr. Coon reviews your health history, medications and the treatment site before recommending PRP. Active infection, platelet or bleeding disorders, certain cancers and other health factors may change the plan or make a procedure inappropriate.

Some medicines can affect platelet function or bleeding risk. Laboratory studies also raise questions about how anti-inflammatory medicines and substances mixed with PRP affect the preparation. Further patient studies are needed to clarify how these effects relate to treatment outcomes. Do not change medication without guidance from Dr. Coon and your prescribing clinician.

The treated area may be sore for several days. Dr. Coon will explain how to manage discomfort and how rehabilitation fits with the tissue being treated.

He will also give you instructions for activity, symptom management and follow-up, including which changes should prompt you to contact the clinic and when to reassess your progress.

Your evaluation lasts an hour and costs $400. Dr. Coon explains the separate procedure fee and any included follow-up before scheduling. Payment is due before or at the time of your visit or procedure. NOVA Regen is a self-pay practice and does not bill insurance.

See fees, insurance and payment options.

Dr. Coon will help you define goals you can assess and set a time to review your response.

If those goals are not being met, he will review the diagnosis, treatment target and other therapeutic options with you before recommending another procedure.